<form class="page-wrap" method="post" action="./doc/json/ajaxDone.json" onsubmit="return validateCallback(this, navViewAjaxDoneClose)">

	<header>
		<div class="toolbar">
			<a class="bar-button back-button"><i class="dwz-icon-arrow-left"></i></a>
			<div class="header-title">表单提交 + 文件上传 + 签名</div>
		</div>
	</header>

	<div class="content">

		<div class="scroll-content dwz-scroll">
			<div class="scroll">

				<div class="pageFormContent">

					<div class="margin-v">
						<div class="form-item">
							<label>图片组1</label>
							<div class="item-content">
								<ul id="upload-preview-pic1" class="upload-preview"></ul>
								<div class="upload-wrap" rel="#upload-preview-pic1" data-name="pic1[]">
									<button type="button">Upload</button>
								</div>
							</div>
						</div>

						<div class="form-item">
							<label>图片组2</label>
							<div class="item-content">
								<ul id="upload-preview-pic2" class="upload-preview"></ul>
								<div class="upload-wrap" rel="#upload-preview-pic2" data-name="pic2[]">
									<button type="button">Upload</button>
								</div>
							</div>
						</div>

					</div>

					<div class="margin-v">
						<div class="form-item">
							<label>电子签名</label>
							<div class="item-content">
								<input type="hidden" name="drug_sign_url" value="" class="required dwz-sign-input" data-error="您还没有完成签字！">
								<div class="dwz-sign-box sign-box pic">
									<a class="button sign" type="button" href="javascript:$.dialog.open({url:'tpl/helper/sign.html?dwz_callback=$.drawingBoardRender'})">点击完成签字</a>
								</div>
							</div>
						</div>
					</div>

				</div>

			</div>

		</div>
	</div>

	</div>

	<div class="form-bar pane">
		<button class="button primary" type="submit">提交</button>
	</div>
</form>
